| NPI | 1417309667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HODGE Owner 504-906-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-09-17 |